Call for an appointment: 
Durham, NC (919) 941-5549
 

Please take a moment prior to your scheduled appointment to download our patient forms.  We ask that you complete the forms at home and bring them with you to your appointment so we may better assist you in a timely manner. If you are unable to download these forms, please come at least 20 minutes prior to your scheduled appointment time to fill out the forms. You may be asked to update these forms yearly.

New Patient Registration/Existing Patient Update Form

Medical/Dental History

HIPPA

Financial Policy

 

Other Forms:

ADA Insurance Claim Forms

Crown And Bridge Consent Form


 

 

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